OrganizationActive
Blue Ridge Integrative Wellness LLC
NPI 1083192595 · Pulmonary Disease Physician · Dryden, VA
Provider details
- NPI number
- 1083192595
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rodney Terry, Project Director(252) 452-6075
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
512 Dryden Loop
Dryden, VA 24243
Phone: (252) 832-1588
Fax: (276) 246-1658
Street-level locationGet directions
Mailing address
189 Dinsmore Rd
Dryden, VA 24243-8378
Other names (DBA / former)
- Doing business as
- The Carson Clinic
Registry dates
- Enumerated
- 2018-08-06
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.